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(Under the authority of Executive Order 51, the Commissioner of Department of Social Services is waiving regulation 22VAC40-665-40.N which references the period of time for a redetermination of eligibility for the subsidy program. )

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Ms. Cheryl Campbell
5533 Brickell Road
Norfolk, VA 23502
(404) 272-1144

Current Inspector: Rene Old (757) 404-1784

Inspection Date: Nov. 10, 2016

Complaint Related: No

Areas Reviewed:
22VAC40-111 Administration
22VAC40-111 Personnel
22VAC40-111 Household Members
22VAC40-111 Physical Health of Caregivers and Household Members
22VAC40-111 Caregiver Training
22VAC40-111 Physical Environment and Equipment
22VAC40-111 Care of Children
22VAC40-111 Preventing the Spread of Disease
22VAC40-111 Emergencies
22VAC40-111 Nutrition
22VAC40-111 Transportation
63.2 Liability Insurance Disclosure
22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:
The following areas of FDH standards were reviewed with the provider: 1. Annual training requirements. 2. Procedures for cleaning and sanitizing of the diapering surface. 3. Hand washing requirements for children. 4. Complete preparation of alternative space for use by children in the event that the designated child care room is not in use. 5. Accurate attendance documentation. 6. Completion of the central registry check form. 7. The emergency plan for the FDH should be completely filled out.

An unannounced monitoring inspection was conducted on 11/10/2016 from 12:05pm - 2:15pm. At the time of entrance there were two nonresident children and one resident child in care with the provider. The ages of the children counted for a total of ten points. Children were observed watching cartoons. Snack was served consisting of a peanut butter and jelly sandwich. One child was observed napping. Records were reviewed for four children, the provider and two household members. The backyard play area and downstairs areas of the home were reviewed. One diaper change was observed. The inspector additionally reviewed emergency supplies, the posted menu, attendance documentation, written emergency plans, hand washing, equipment, transportation procedures and the record for the family dog. The provider reports no medication is being administered. Violations were found in the following areas of the family day home standards: Administration, Physical Environment and Equipment, Care of Children, Prevention the Spread of Disease, Emergencies and Transportation. Please complete the "plan of correction" for each violation cited on the violation notice and return it to me within 5 calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word "corrected" is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s).

Standard #: 22VAC40-111-760-A-1
Description: Based on observation, the provider failed to ensure that the first aid kit shall contain at a minimum triangular bandages. Evidence: The first aid kit contained only one triangular bandage. Two or more are required.

Plan of Correction: Put extra bandage in first kit.

Standard #: 22VAC40-111-770
Description: Based on observation, the provider failed to ensure there was a working battery-operated weather band radio and extra batteries available at all times. Evidence: The battery-operated weather band radio was not working. The provider was not able to locate extra batteries.

Plan of Correction: Got new battery.

Standard #: 22VAC40-111-830-A
Description: Based on record review and interview, the provider failed to ensure that emergency evacuation procedures shall be practiced monthly. Evidence: 1. There were no fire drills noted on the fire drill log for the family day home which has been licensed since July 3, 2016. 2. The provider confirmed that a fire drill had not been conducted.

Plan of Correction: Complete the same day. Had a fire drill the same day.

Standard #: 22VAC40-111-990-B
Description: Based on interview, the provider failed to ensure that during transportation of children the driver has a copy of the parent's written permission to transport the child and a copy of each child's emergency contact information. Evidence: 1. The provider stated she had transported child #1 and child #2 from their home to her family day home earlier on the date of the inspection. a. The provider stated she did not have written permission to transport the children in her personal vehicle to and from the family day home. b. The provider stated she did not have a copy of each child's emergency contact information in her vehicle during transport to and from the family day home.

Plan of Correction: No more pick up children. Will not be picking up kids anymore. Put children's information in car.

Standard #: 22VAC40-111-50-A
Description: Based on record review and interview, the provider failed to keep a written record of children in attendance each day. Evidence: 1. The written attendance record did not indicate any children in care for 11/10/2016 and 11/08/2016. a. Two children were in care when the inspector arrived at 12:05pm. b. The provider stated that two children had been in care on 11/08/2016. 2. The provider confirmed that she had not documented attendance on 11/08/2016 and 11/10/2016.

Plan of Correction: Parent's sign the kid in - (re-do) Re-do same day- Had parent to sign in.

Standard #: 22VAC40-111-60-B
Description: Based on record review, the provider failed to ensure that children's records shall contain the first date of attendance. Evidence: 1. The first date of attendance was not documented in the record of child #1 and child #2.

Plan of Correction: Fill in date.

Standard #: 22VAC40-111-240-A
Description: Based on observation, the provider failed to ensure that areas and furnishings of the family day home, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the back section of the backyard play area, next to the shed, there was broken glass on the ground. (Repeat from 6/14/2016 inspection). 2. The following safety hazards were observed in the living room and kitchen. Children were in care in the living room which is open and accessible to the kitchen. a. The handle on the sliding glass door, which opens to the back yard, was broken. The handling was hanging downward and had detached from the door. The broken handle had a sharp jagged edge. b. A pop up insect bed net was on the floor of the living room. There were several infant/toddler plastic play blocks inside of the bed net. This product which measured 55 inches x 25 inches is a trip hazard, and eliminated a large portion of open space in the living room. c. A top loading freezer was placed in the kitchen beside the sliding glass door. The freezer lacked any locking mechanism to prevent access by children. d. An infant was observed sitting in a car seat which had been placed on the couch in the living room. A child can easily be injured by falling out of an improperly used car seat or while sitting in a car seat that falls from an elevated surface, such as a couch.

Plan of Correction: 1. Get it up with a scoop. 11/19/16 2. Putting new heating system in. 11/19/16. 3. Buy new handle. 11/19/16. 4. Removed it upstair. 11/10/16. 5. Children not allowed in there - put lock on it. 11/19/16. 6. Child removed same day. 10/10/16.

Standard #: 22VAC40-111-250-A
Description: Based on observation, the provider failed to ensure that hanging items including, but not limited to, window blind or curtain cords, appliance cords, and ropes shall be out of reach of children under five years of age. Evidence: A dangling cord was observed hanging down half the length of the refrigerator. The cord was attached to a telephone that was placed on top of the refrigerator. The kitchen is open and accessible to the living room where children were in care.

Plan of Correction: Removed the children. Tape the cord up.

Standard #: 22VAC40-111-320-B
Description: Based on observation, the provider failed to ensure that child-resistant protective covers larger than 1-1/4 inches in diameter shall be installed on all unused electrical outlets and surge protectors accessible to children under five years of age. Evidence: One outlet in the living room lacked a protective cover. This outlet was on the lower area of the wall accessible to children.

Plan of Correction: (plug) cover it up. Plug it up.

Standard #: 22VAC40-111-320-E
Description: Based on observation, the provider failed to ensure that floor fireplaces located in areas accessible to children shall have barriers or screens. Evidence: 1. A metal floor fireplace was placed on the floor in the living room without the benefit of any type of screen or barrier. a. A child was observed within reach of this portable fireplace. The fireplace was not in use however, injury could result if a child pulled on the fireplace causing it to topple over.

Plan of Correction: Removed it to upstairs.

Standard #: 22VAC40-111-360-C
Description: Based on observation, the provider failed to ensure that children shall not be allowed access to garbage storage areas. Evidence: A plastic grocery bag full of trash was observed dangling over the top of a chair in the kitchen. This bag was within reach of children.

Plan of Correction: Put trash out.

Standard #: 22VAC40-111-460-I
Description: Based on observation, the provider failed to ensure that animal food dishes and water dishes shall be inaccessible to children. Evidence: The water and food dish for the family dog were observed on the floor of the kitchen which is open and accessible to children in care. The dishes were empty.

Plan of Correction: Re-moved dog bowl. Children not allowed in kitchen.

Standard #: 22VAC40-111-540-A
Description: Based on observation, the provider failed to ensure that a safety strap shall be used and securely fastened when a child occupies a high chair. Evidence: An infant was observed in a high chair without any safety strap.

Plan of Correction: Removed chair - took child out.

Standard #: 22VAC40-111-600-B
Description: Based on observation, the provider failed to ensure that infants and toddlers shall spend no more than 30 minutes of consecutive time during waking hours, with the exception of mealtimes, confined in a crib, play pen, high chair or other confining piece of equipment. The intervening time period between confinements shall be at least one hour. Evidence: 1. When the inspector arrived at 12:05pm an infant (child #1) was sitting in a high chair in front of the the television. 2. Child #1 remained in the high chair until approximately 1:15pm when she was moved to a exersaucer. 3. Child #1 remained in the exersaucer when the inspector exited the home at 2:15pm.

Plan of Correction: Removed child.

Standard #: 22VAC40-111-680-B
Description: Based on observation, the provider failed to ensure that children's hands are washed with liquid soap and warm running water after diapering. Evidence: 1. After a diaper change at 12:30pm, the provider did not wash the hands of child #1. 2. Child #1 did wash her hands after being reminded to by the inspector.

Plan of Correction: Wash child hand. Washing children hand.

Standard #: 22VAC40-111-690-D
Description: Based on observation, the provider failed to ensure that the diapering surface was cleaned and sanitized after a diaper change. Evidence: 1. After changing a child's diaper the provider failed to clean the diapering pad. 2. The provider did spray the surface with disinfectant however, a paper towel was used to immediately wipe the surface instead of allowing the surface to air dry.

Plan of Correction: Recleaned surface after diaper change.

Standard #: 22VAC40-111-690-E
Description: Based on observation, the provider failed to ensure that soiled disposable diapers and wipes shall be disposed of in a leak-proof or plastic-lined storage system that is either foot operated or used in such a way that neither the caregiver's hand nor the soiled diaper or wipe touches the exterior surface of the storage system during disposal. Evidence: The provider disposed of a soiled diaper and wipes in an open trash container in the bathroom.

Plan of Correction: New trash can and bags

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.


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